Coronial
WAhospital

Inquest into the Death of Hassan Mohamed YOUSSEF

Deceased

Hassan Mohamed YOUSSEF

Demographics

60y, male

Coroner

Deputy State Coroner Linton

Date of death

2018-11-08

Finding date

2021-08-06

Cause of death

Complications of gastrointestinal haemorrhage due to cirrhosis of the liver secondary to hepatitis B

AI-generated summary

Hassan Mohamed Youssef, a 60-year-old sentenced prisoner, died from gastrointestinal haemorrhage complications secondary to cirrhosis from hepatitis B. He presented with multiple serious pre-existing conditions including oesophageal varices, ischaemic heart disease, and uncontrolled diabetes. In prison, his medication compliance improved significantly compared to community care, and he received excellent comprehensive medical support including specialist gastroenterology and cardiology input. He experienced major bleeding episodes managed by urgent hospital transfers and endoscopic banding procedures. The coroner found his prison medical care was equal to or better than community care, with no issues contributing to his death. While the Royal Prerogative of Mercy was not considered despite terminal illness status, parole denial was appropriate given community safety concerns. Clinical lessons include the importance of ensuring medication compliance in complex patients and proactive management of known variceal risk.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

gastroenterologyhepatologycardiologyintensive carepalliative carecorrectional health

Clinical conditions

cirrhosishepatitis Boesophageal varicesgastrointestinal haemorrhageportal hypertensiontype 2 diabetes mellitusischaemic heart diseaseheart failuresplenomegalythrombocytopenia

Procedures

gastroscopyoesophageal varices banding

Contributing factors

  • Oesophageal varices from portal hypertension
  • Hepatitis B with advanced liver cirrhosis
  • Poor medication compliance in community prior to incarceration
  • Progressive health deterioration despite appropriate prison medical care

Coroner's recommendations

  1. The Department of Justice has since reviewed processes for considering the Royal Prerogative of Mercy for stage 3 terminally ill prisoners
  2. A staff member at the Sentence Management Unit is now responsible for ensuring all eligible cases are considered and referred through the hierarchy
Full text

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